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May 2009

Cutaneous Incisional Endometriosis

Arch Dermatol. 2009;145(5):605-606. doi:10.1001/archdermatol.2009.67

We describe herein a woman with a cutaneous ectopic endometrioma arising in a scar from cesarean delivery and causing dull, aching discomfort.

A 21-year-old woman presented as a referral from the department of obstetrics and gynecology with a 2-year history of a deep, palpable, mobile nodule adjacent to her cesarean delivery scar that had developed 3 weeks after her cesarean delivery. Her medical history was unremarkable. She had seen emergency department physicians several times and had also seen her obstetrician, who all advised her that she had a cyst. She described the nodule as causing dull, mildly aching pain most of the time, somewhat worse during her menstrual cycle. The nodule did not fluctuate in size.

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